HomeMy WebLinkAboutSign Permit 00-013 - freestanding
City of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. ~"O,~
DIRECTIONS: One completed application per sign is required. Applicant is
responsible for obtaining a building permit if necessary.
1. PARCELLD.OFPROPERTY:
2. APPLICANT: (NAME)
Ri chGl.rvt 5ever5 ~tJ85' fYjoryan Lh
.fa.-rR: (NAME) (ADD~S~ ~r<liLnw~y3IVcL.
~~01\ 17 ~04.55-mftL -"e-, rn ~
4. SITE ADDRESS LOCATION OF SIGN
(ADDRESS)
<:
5. TYPE OF SIGN: TEMPORARY (21 DAY MAXIMUM DISPLAY)
Blll1oon* Banner*Business*Changeable Copy Signs*Construction Signs* nstitutional SigllS*Lake ServICe
Multiple Residential Nameplate SigllS*On-Premise Directional Signs*Permanent Wmdow Sign*Portable Sign*Subdivision Identification SigllS
(PHONE)
[den PryirT ~ fVJrJ 952- fJ3~-1J587
(pHONE).,.,
{pfJ&-8'c36-33D
6. SIGN DIMENSIONS
(square feet)
(Height)
I q I 2L.\.vrJ
7. TI'PE OF CONSTRUCTION
VlcY:i~q<5 ~ ~i)T.:)l:::..\J"TlJ 6.'X'('( Jr\.8
8. PROPOSED DISPLA DATES (if applicable)
(Width)
~-0u
(Depth) .
Y1krU
10. Estimated Value of Sign !J;
11. Completion Date
~ I C 1\1
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished infonnation on this application which is, to the best of my knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware that the City Planner can revoke this permit for just cause. Furthermore, I hereby agree that City Officials or a designee
thereof may enter upon the property to pet] needed inspec . ns.
5' /Z:1100
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIRE1v1ENTS
, ~ompleted Application
.. Scale Drawing showing location of sign
~lans and Specs .. ....r
--lL. Permit Fee $ !'-'~ (permit fee is set
at time of application cording to approved schedule)
This Application becomes you Sign Permit when approved.
By
City PI ner or designee
t,-l/,"t9Q
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document, when signed by the City Planner or designee constitutes compliance with the Sign Ordinance.
1'.
24 Hour Notice for All Inspections
447-4230 from 9:00 a.m. - 10:00 a.m.
l:\handouts\signform.doc
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